Provider Demographics
NPI:1356972103
Name:THE FREEDOM CENTER, LLC/ GROUP
Entity type:Organization
Organization Name:THE FREEDOM CENTER, LLC/ GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:SCRIBNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-720-3103
Mailing Address - Street 1:202 PERRY PKWY STE 5
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20877-2172
Mailing Address - Country:US
Mailing Address - Phone:240-720-3103
Mailing Address - Fax:240-306-1471
Practice Address - Street 1:202 PERRY PKWY STE 5
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-2172
Practice Address - Country:US
Practice Address - Phone:240-720-3103
Practice Address - Fax:240-306-1471
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-30
Last Update Date:2020-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty